101970 AMAZON CAPITAL SERVICES INDIANA RETAIL TAX EXEMPT Page 1 of 1
City of IIa.iriririe1 CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 101970
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
7 CARMEL, INDIANA 46032-2584 VOUCHER,DELIVERY MEMO,PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
C ;RM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL-1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
9/25/2018 371592 Camera and Wireless Air Mouse bundle
AMAZON CAPITAL SERVICES ICS
VENDOR PO BOX 035184 SHIP 31 1st.Avenue N.W.
TO Carmel, IN 46032-
SEATTLE,WA 98124--5184 Timothy Renick (317)571-2576
PURCHASE ID BLANKET CONTRACT PAYMENT TERMS FREIGHT
' 29507
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1115 Fund: 101 General Fund
Account: 42-302.00
1 Each GYM5600LKNA Mouse,Air Wireless $99.39 $99.39
Sub Total $99.39
Account: 43:500.00
1 Each Network Camera $2,454.56 $2,454.56
2 Each Pole Mount for Network camera $97.55 $195.10
Sub.Total $2,649.66
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Send Invoice To: v, .t,-,,,,,,„--,a,„,,,,,',. . ..., .. ,,z w' a
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Timothy Renick
31 1st Avenue N.W.
Carmel, IN 46032-
(317)571-2576 PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT O PROJECT I PROJECT ACCOUNT AMOUNT
PAYMENT $2,749.05
*NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
SHIPPING INSTRUCTIONS
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
,SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
I ).D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
\—. RCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL —
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 / ' �� --'���'
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Timothy Renick V
TITLE Director (74\.
CONTROL NO. 101970 CLERK-TREASURER \�\